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Abstract：
UNASSIGNED: Women\'s empowerment and autonomy have been proven to promote women\'s use of modern contraceptives. This study examined women\'s autonomy as a potential factor for modern contraceptive use among Ghanaian women in a union.
UNASSIGNED: We conducted a secondary analysis of data from the 2014 Ghana Demographic and Health Survey. The main outcome measure was current modern contraceptive use from women\'s self-report. Three composite indices were used to assess women\'s autonomy: household decision-making, attitudes towards wife-beating, and property ownership.
UNASSIGNED: A total of 4772 non-pregnant women aged 15-49 years in a union were included in the analysis. The mean age was 34.2(±7.97) years, 53.6% received at least secondary education, 87.7% were employed, and 76.5% received family planning information within the last 12 months. The prevalence of modern contraceptive use was 24.8% (95% CI: 22.9-26.7). Women\'s autonomy was independently associated with modern contraceptive use. Compared with women with low autonomy, women with moderate (AOR= 1.26, 95% CI: 1.02-1.55, p = 0.034) and high autonomy (AOR = 1.34, 95% CI: 1.01-1.79, p = 0.044) had increased odds of modern contraceptive use. Maternal age, education, number of living children, employment, region, and exposure to family planning information were also strongly associated with modern contraceptive use.
UNASSIGNED: The findings from this study support the assertion that women\'s autonomy may be vital in promoting the use of modern contraceptives among women in a union in Ghana and other low-income and middle-income countries and should be considered in family planning programs.
UNASSIGNED: We conducted a secondary analysis of data from the 2014 Ghana Demographic and Health Survey. The main outcome measure was current modern contraceptive use from women\'s self-report. Three composite indices were used to assess women\'s autonomy: household decision-making, attitudes towards wife-beating, and property ownership.
UNASSIGNED: A total of 4772 non-pregnant women aged 15-49 years in a union were included in the analysis. The mean age was 34.2(±7.97) years, 53.6% received at least secondary education, 87.7% were employed, and 76.5% received family planning information within the last 12 months. The prevalence of modern contraceptive use was 24.8% (95% CI: 22.9-26.7). Women\'s autonomy was independently associated with modern contraceptive use. Compared with women with low autonomy, women with moderate (AOR= 1.26, 95% CI: 1.02-1.55, p = 0.034) and high autonomy (AOR = 1.34, 95% CI: 1.01-1.79, p = 0.044) had increased odds of modern contraceptive use. Maternal age, education, number of living children, employment, region, and exposure to family planning information were also strongly associated with modern contraceptive use.
UNASSIGNED: The findings from this study support the assertion that women\'s autonomy may be vital in promoting the use of modern contraceptives among women in a union in Ghana and other low-income and middle-income countries and should be considered in family planning programs.
摘要：
■妇女的赋权和自主权已被证明可以促进妇女使用现代避孕药具。这项研究调查了加纳妇女在工会中使用现代避孕药具的潜在因素，即妇女的自主性。
■我们对2014年加纳人口与健康调查的数据进行了二次分析。主要结果指标是根据妇女的自我报告得出的当前现代避孕药具使用情况。三个综合指数被用来评估妇女的自主权：家庭决策，对待殴打妻子的态度，和财产所有权。
■共有4772名年龄在15-49岁之间的非孕妇纳入分析。平均年龄34.2(±7.97)岁,53.6%至少接受过中等教育，87.7%受雇，76.5%的人在过去12个月内获得了计划生育信息。现代避孕药具使用的患病率为24.8%(95%CI:22.9-26.7)。妇女的自主性与现代避孕药具的使用独立相关。与自主性低的女性相比，中度(AOR=1.26,95%CI:1.02~1.55,p=0.034)和高度自主(AOR=1.34,95%CI:1.01~1.79,p=0.044)的女性使用现代避孕药具的几率增加.产妇年龄,教育,活着的孩子的数量，employment,区域,接触计划生育信息也与现代避孕药具的使用密切相关。
这项研究的结果支持以下主张：在加纳和其他低收入和中等收入国家的工会中，妇女的自主权对于促进妇女使用现代避孕药具可能至关重要，应在计划生育计划中予以考虑。
■我们对2014年加纳人口与健康调查的数据进行了二次分析。主要结果指标是根据妇女的自我报告得出的当前现代避孕药具使用情况。三个综合指数被用来评估妇女的自主权：家庭决策，对待殴打妻子的态度，和财产所有权。
■共有4772名年龄在15-49岁之间的非孕妇纳入分析。平均年龄34.2(±7.97)岁,53.6%至少接受过中等教育，87.7%受雇，76.5%的人在过去12个月内获得了计划生育信息。现代避孕药具使用的患病率为24.8%(95%CI:22.9-26.7)。妇女的自主性与现代避孕药具的使用独立相关。与自主性低的女性相比，中度(AOR=1.26,95%CI:1.02~1.55,p=0.034)和高度自主(AOR=1.34,95%CI:1.01~1.79,p=0.044)的女性使用现代避孕药具的几率增加.产妇年龄,教育,活着的孩子的数量，employment,区域,接触计划生育信息也与现代避孕药具的使用密切相关。
这项研究的结果支持以下主张：在加纳和其他低收入和中等收入国家的工会中，妇女的自主权对于促进妇女使用现代避孕药具可能至关重要，应在计划生育计划中予以考虑。
